Start with an emergency physician

See all

Now, Zhou Yuan was in a dilemma. If he cut off these connections hastily, it might cause both sides' brains to lack nutrition and oxygen, leading to a stroke.

And a stroke at this time would almost bring lifelong trauma to the two children!

Zhou Yuan thought for half a second and immediately said,"The operation begins!"

The atmosphere in the operating room became more tense, and everyone's face was extremely solemn!

"Director Xiao, Lu Chenxi and I separated the twins' shared arterial network! The plastic surgery doctors immediately measured the twins' heads and reconstructed the skulls to ensure that both girls would have complete skulls after the surgery!"

Zhou Yuan's face turned serious.

According to current medical statistics, the probability of conjoined twins with their heads joined is one in every two and a half million newborns, and most of them cannot survive more than 24 hours. The small number of conjoined twins who can survive more than 24 hours will have a mortality rate of more than 80% at around two years old. Conjoined twins like this who can live to 19 months are very rare.

Moreover, since the first surgery to separate twins with their heads joined in 1952, there have been only 60 recorded similar surgeries in the world so far. In other words, each separation surgery for a pair of conjoined twins is unique, and each surgery is a battle with death. This shows how huge the risk of separating conjoined twins with their heads joined is. Once a mistake is made, both children may die during the operation.

Zhou Yuan took a deep breath, cleared his mind of distracting thoughts, and then operated the microscope to look at the two patients.

The microscope can almost be called the most advantageous weapon for the skull separation surgery of conjoined twins. It can observe the microscopic structures of the twins' blood vessels, nerves, etc., and provide a good separation field.

""Vascular clamp."

Zhou Yuan looked at the blood vessels in the microscope and stretched out a hand.

The instrument nurse immediately handed over the vascular clamp.

Zhou Yuan carefully clamped Xiaoyu's cerebral artery and temporarily blocked the blood flow.

Now, there are many shared arteries and veins in the parts where Xiaoyu and Xiaowen's brains are connected. If they want to be separated, the only way is to block the blood flow, cut off these connected arteries and veins, and then manually distribute and anastomose them.

In short, cut off the wrong blood vessels, put them back to the correct owner, and then restore the blood supply.

Zhou Yuan carefully manipulated the scalpel to separate the blocked blood vessels. Every time the connection is cut, there is a risk of brain damage and stroke. So much so that Zhou Yuan would breathe a sigh of relief every time he completed a cut, and then dare to cut another one.

"Physical condition."Zhou Yuan cut off a shared artery again, asked the nurse to wipe the sweat off his face.

The anesthesiologist looked solemn and said,"One patient has high blood pressure and the other has low blood pressure!"

Zhou Yuan nodded.

From the moment the blood perfusion occurred, Zhou Yuan guessed that this would happen.

There is another problem in the skull separation surgery for conjoined twins, which is for the anesthesiologist.

Because the conjoined twins are two people, and...the two have the same blood vessels and use different medications.

Therefore, the anesthesiologist must control the medication balance and find a point suitable for both patients.

Fortunately, the director of the anesthesia department of Beijing International Hospital, anesthesia team, is very experienced in anesthesia.

After a few hours, all shared arteries were cut off.

The arterial connection between the twins was also completely disconnected.

At the same time, the plastic surgeon is also preparing to rebuild a new skull based on the proportions of the twins' heads, etc., for the two people after separation.

This is for plastic surgeons. It is also a huge challenge, because the twins are only nineteen months old and are in a period of vigorous growth. Therefore, it is necessary to ensure that the newly built skull is large enough and has a certain toughness to withstand the pressure brought by the growth activities of the two.

This is also the reason why Zhou Yuan did not use the chief physician from Shanghai.

This operation requires not only personal skills, but also teamwork!

Every member, from the chief surgeon to the first assistant, the second assistant, the anesthesiologist, and the instrument nurse, all are linked together!

Once one person makes a mistake, the operation may fail!

Zhou Yuan chose to believe in his team. Since he was able to complete the first time, Zhou Yuan's team can also complete the skull separation excellently this time and end it perfectly!

""Begin the shared vein division." Zhou Yuan's voice sounded again after a brief silence.

This step was equally dangerous.

Because it was a cerebral blood vessel, just like separating an artery, every disconnection was accompanied by the risk of brain damage.

Zhou Yuan slowly cut open a clamped meridian, and then, with the scalpel floating above, he waited quietly.

Five minutes later, Xiaoyu and Xiaowen's vital signs still did not change dramatically, and Zhou Yuan slowly breathed a sigh of relief:"No stroke was caused."

The danger passed again, and Zhou Yuan clamped another vein and began another cut.

Time passed quickly in the operating room, and the shared vein division operation was carried out with constant cutting and waiting.

However, this time the progress was not smooth.

Zhou Yuan found that Xiaoyu's brain blood supply was getting less and less, and in contrast, Xiaowen's brain blood vessels were filled with blood and expanded again.

The blood mixing phenomenon that had been temporarily suppressed before happened again! Xiaoyu's blood once again penetrated into Xiaowen's head.

"What happened!" Zhou Yuan immediately stopped and started to check.

Xiao Xuebao and others were worried.

The anesthesiologist started to call the police:"Another blood pressure imbalance! One of the two patients' blood pressure began to rise, while the other twin's blood pressure continued to drop!"

The instrument nurse was also panicked and said hurriedly:"The heart rate of the patient on the left has dropped sharply!"

On the left was Xiaowen.

At this time, Xiaowen's body had received too much blood, and his heart could no longer hold on.

On the other hand, Xiaoyu on the other side began to show a series of changes caused by blood loss!

"Xiaoyu is beginning to suffer from hemorrhagic shock! Should he receive a blood transfusion?"Lu Chenxi said palely.

Zhou Yuan's face became heavy.

"No blood transfusion!"

If a blood transfusion is given, Xiaoyu's symptoms may be temporarily relieved, but what about Xiaowen on the other side?

His body is receiving Xiaoyu's blood. If another blood transfusion is given, the large amount of blood will directly kill Xiaowen on the operating table!

But without a blood transfusion, Xiaoyu will die on the operating table again!

In an instant, everyone realized the seriousness of the problem.

The operating room suddenly became quiet, and all eyes were fixed on the screen of the instrument, staring at the pulmonary artery pressure, systemic circulation pressure, blood pressure and other vital signs.

Beep, beep, beep.

The sound of the heart monitor kept ringing, which was the only sound in the operating room.

"Zhou Yuan, what should I do?……"

Everyone's eyes were on the surgeon Zhou Yuan.